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目的探讨中学生再传播结核病核心信息对提高农村居民结核病知识知晓水平和病人发现水平的效果。方法采用随机抽样的方法抽取邯郸市农村两所乡镇中学作为干预对象,对中学生实施一年的结核病核心信息健康教育干预,并将所学知识对其家庭成员和周围居民传播,调查干预前后学生、家长和居民结防知识问卷及格率和病人发现水平变化。结果干预后中学生、家长和居民结核病知识知晓及格率较干预前分别提高了68.39%、39.44%和43.26%,总体提高了52.47%,具有统计学意义(P<0.01);干预后一年内可疑者年就诊率和涂阳肺结核病人登记率较干预前分别提高了0.79‰和10.9/10万。结论对中学生进行健康教育,能明显提高中学生及其家长和居民结防知识知晓水平和病人发现数量。
Objective To explore the effect of secondary information of tuberculosis relapse on secondary school students’ awareness of TB knowledge and level of patient discovery. Methods A random sampling method was used to select two middle schools in rural areas of Handan as intervention targets. One year of tuberculosis core information health education intervention was carried out for middle school students, and the knowledge was disseminated to family members and surrounding residents. Before and after the intervention, Parents and Residents Jiexun Knowledge Questionnaire passing rate and changes in the level of patient discovery. Results The knowledge pass rate of TB knowledge among middle school students, parents and residents after intervention was 68.39%, 39.44% and 43.26% higher than that before intervention, with an overall increase of 52.47% (P <0.01). After one year of intervention, Year treatment rate and the smear-positive pulmonary tuberculosis registration rate increased by 0.79 ‰ and 10.9 / 100,000 respectively compared with that before intervention. Conclusions Health education for middle school students can significantly improve the level of awareness and the number of patients found in high school students, their parents and residents.